New pandemic plan: “With scarce resources, choose who to treat first”

The draft of the new is ready Pandemic Plan 2021-2023, 140 pages with the operational strategies to be implemented, obviously starting from the emergency of the Covid-19 which has disrupted health systems around the world.

In the text, which incorporates the WHO guidelines of 2018, we read: «When scarcity makes resources insufficient with respect to the needs, the principles of ethics can allow to allocate scarce resources in a way to provide necessary treatments preferentially to those patients who are more likely to benefit from it“. And “prioritize medical care for identified groups (eg children, health care workers and patients with a greater chance of survival)».

But «a necessary condition for the different balance among the values ​​in the various circumstances is ethically acceptable, is to maintain the centrality of the person».

In particular, in the document of Ministry of Health it is noted that “solidarity must inspire every decision, interventions must always be based on evidence and proportionate, restrictions and intrusion into people’s lives should be as minor as possible in relation to the achievement of the objective pursued and people must always be treated with respect ». Once final, the document must be approved by the State-Regions conference.

Failure to update the national pandemic plan is at the center of an international case for a WHO report, later withdrawn by the world organization, which certified that the Italian document dated back to 2006. A passage that would have irritated WHO number two, Ranieri Guerra, former executive of the Ministry of Health, who, in some emails shown by the Report , would have asked for the date to be changed to “2016”.

Among the crucial points indicated in the plan are the ability to mobilize the system to increase in a short time both the production of masks and personal protective equipment nationwide that the beds in intensive care, and continuous training of health workers “also to ensure that there are no inefficiencies in the assistance and care of people suffering from ordinary diseases other than Covid-19 as they are common”.

Particular attention is also dedicated to communication, with respect to which the plan proposes to “contain and block the disclosure of disinformation, fake news, conspiracy theories and leaks “to avoid” attitudes of rejection of behavior and risk containment measures “, entrusting its implementation to the Ministry of Health and the Regions, supported by “experts and influencers”.

The plan will be subjected to a three-year monitoring for verification and updating.

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